Document Type : Original Article
Authors
- . Saima Zainab
- . Aneeta Khoso
- . Maryam Siddiqui 1
- . Kiran Ashraf 1
- . Muhammad Anees Mumtaz 2
- . Manahil Awan 1
1 Department of Community Medicine Liaquat National Hospital and Medical College, Karachi, Pakistan
2 Department of Medicine Basic Health Unit, Ahmad Naich Institute, Bahawalpur District Health Authority, Bahawalpur, Pakistan
Abstract
BACKGROUND: The growth in the elderly population is predicted to expand exponentially and
developing countries like Pakistan have about two‑third of the global elderly population. It is vital to
maintain the health of the elderly aged population to reduce disabilities and health‑care cost.
AIM: This study aimed to determine the health promotion practices among the older aged population
in Pakistan and to explore the factors associate with adopting healthy lifestyle practices.
MATERIALS AND METHODS: This was a cross‑sectional study spanning from 2019 to 2020
conducted on 317 participants of age more than 60 years in Pakistan. The participants included
healthy attendants of patients visiting the outpatient clinics of different disciplines in the Liaquat
National Hospital Karachi through purposive sampling technique. The health‑promoting practices
were assessed using Health‑Promoting Lifestyle Profile II Questionnaire. The factors that determined
the healthy practices among the elderly population were identified using independent t‑test and
analysis of variance and Tukey test, with a significance level of P < 0.05. IBM SPSS Statistics 22
was used for data entry and analysis.
RESULTS: The highest subscale was detected from interpersonal relationships and spiritual growth.
The lowest score was detected from physical activity. The scores differed significantly by occupation,
education, and the marital status of the participants. Females, unmarried people, those who were
less educated, and participants relying on others for financial support had lower health‑promoting
lifestyle scores.
CONCLUSION: The overall health‑promoting practices were good among the old‑aged population of
Pakistan. These practices differed particularly for physical activity, spiritual growth, and interpersonal
relationships.
Keywords
- United Nations, Department of Economic and Social
Affairs, Population Division. World Population Ageing
2017‑Highlights (ST/ESA/SER.A/397); 2017. Available
from:https://www.un.org/en/development/desa/population/
publications/pdf/ageing/WPA2017_Highlights.pdf. [Last
accessed on 2021 Mar 23].
2. WHO. 10 Facts on Ageing and Health. Available from: http://
www.who.int/features/factfiles/ageing/en/. [Last accessed on
2020 Dec 18].
3. United Nations, Department of Economic and Social Affairs,
Population Division. World Population Ageing 2019:
Highlights (ST/ESA/SER.A/430); 2019. Available from: https://
www.un.org/en/development/desa/population/publications/
pdf/ageing/WorldPopulationAgeing2019‑Highlights.pdf]. [Last
accessed on 2021 Mar 23]. - 4. He W, Goodkind D, Kowal P. U.S. Census Bureau, International
Population Reports, P95/16‑1, An Aging World: 2015, U.S.
Washington, DC: Government Publishing Office; 2016. Available
from: https://www.census.gov/content/dam/Census/library/
publications/2016/demo/p95‑16‑1.pdf. [Last accessed on
2021 Mar 22].
5. HelpAge Global Network. Available from: https://ageingasia.
org/ageing‑population‑pakistan/.[Last accessed on 2021 Mar 22].
6. Flint B, Tadi P. Physiology, aging. In: StatPearls. Treasure
Island, FL: StatPearls Publishing; 2021. Available from: https://
www.ncbi.nlm.nih.gov/books/NBK556106/. [Last updated
on2020 Dec 02].
7. Harridge SD, Lazarus NR. Physical activity, aging, and
physiological function. Physiology (Bethesda) 2017;32:152‑61.
8. Vidovićová L. New roles for older people. Pop Ageing 2018;11:1‑6.
9. National Institute of Population Studies (NIPS)[Pakistan] and ICF.
Pakistan Demographic and Health Survey 2017‑18. Islamabad,
Pakistan, and Rockville, Maryland, USA: NIPS and ICF; 2018.
10. World Health Organization. World Report on Ageing
and Health. Geneva: World Health Organization; 2015.
Available from: https://apps.who.int/iris/bitstream/
handle/10665/186463/9789240694811_eng.pdf; jsessionid=C7F
679E7A8793BAF9B0AFF5C5AC674E6?sequence=1.[Last accessed
on 2020 Nov 05].
11. Ashiq U, Asad AZ. The rising old age problem in Pakistan. J Res
Soc Pak 2017;54:325‑33.
12. The Liaquat National Hospital. Available from: https://www.
lnh.edu.pk/. [Last accessed on 2021 Mar 22].
13. Walker S, Hill‑Polerecky DM. Psychometric evaluation of
health promoting lifestyle profile II. Lincoln: Unpublished
manuscript, University of Nebraska Medical Center, College
of Nursing; 1997. Available from; https://deepblue.lib.umich.
edu/bitstream/handle/2027.42/85349/HPLP_IIDimensions.
pdf?sequence=2. [Last accessed on 2019 Nov 16].
14. Lee MK, Oh J. Health‑related quality of life in older adults: its
association with health literacy, self‑efficacy, social support, and
health‑promoting behavior. Healthcare (Basel) 2020;8(4):407. Doi:
10.3390/healthcare8040407
15. Golinowska S, Groot W, Baji P, Pavlova M. Health promotion
targeting older people. BMC Health Serv Res 2016;16 Suppl 5:345.
16. Perelli‑Harris B, Hoherz S, Addo F, Lappegård T, Evans A,
Sassler S, et al. Do marriage and cohabitation provide benefits to
health in mid‑life? The role of childhood selection mechanisms
and partnership characteristics across countries. Popul Res Policy
Rev 2018;37:703‑28.
17. Chen Y, Yang C, Feng S. The effect of social communication on
life satisfaction among the rural elderly: A moderated mediation
model. Int J Environ Res Public Health 2019;16(20): 3791. Doi:
10.3390/ijerph 16203791
18. Jackson BR, Bergeman CS. How does religiosity enhance
well‑being? The role of perceived control. Psycholog Relig
Spiritual 2011;3:149‑61.
19. DuggalD, Sacks‑ZimmermanA, LibertaT. The impact of hope and
resilience on multiple factors in neurosurgical patients. Cureus
2016;8:e849.
20. MacLeod S, Musich S, Hawkins K, Alsgaard K, Wicker ER.
The impact of resilience among older adults. Geriatr Nurs
2016;37:266‑72.
21. Bukman AJ, Teuscher D, Feskens EJ, Baak MAV, Meershoek A,
Renes RJ.Perceptions on healthy eating, physical activity and
lifestyle advice: Opportunities for adapting lifestyle interventions
to individuals with low socioeconomic status. BMC Public Health
2014;14:1036. [doi: 10.1186/1471‑2458‑14‑1036].
22. Gomes M, Figueiredo D, Teixeira L, Poveda V, Paúl C,
Santos‑Silva A, et al. Physical inactivity among older adults across
Europe based on the SHARE database. Age Ageing 2017;46:71‑7.
23. Karimi N, Saadat‑Gharin S, Tol A, Sadeghi R, Yaseri M,
Mohebbi B. A problem‑based learning health literacy intervention
program on improving health‑promoting behaviors among girl
students. J Educ Health Promot 2019;8:251.
24. Guddal MH, Stensland SØ, Småstuen MC, Johnsen MB,
Zwart JA, Storheim K. Physical activity and sport participation
among adolescents: Associations with mental health in
different age groups. Results from the Young‑HUNT study:
A cross‑sectional survey. BMJ Open 2019;9 (9):E028555. [doi:
10.1136/bmjopen‑2018‑028555].
25. Saber F, Shanazi H, Sharifirad G, Hasanzadeh A. Checking the
determinants of physical activity based on the theory of planned
behavior in the housewives. J Educ Health Promot 2014;3:94.
26. National Research Council (US) Panel on Statistics for an
Aging Population; Gilford DM, editor. The Aging Population
in the Twenty‑First Century: Statistics for Health Policy.
Washington (DC): National Academies Press (US); 1988. Available
from: https://www.ncbi.nlm.nih.gov/books/NBK217737/doi:
10.17226/737. [Last accessed on 2021 May 07].
)